REGISTRATION FORM

REGISTRATION FORM

Personal Details

Name :__________________________________________

Mobile/Phone number:_____________________________

Email Address:___________________________________

Religion:________________________________________

Address:________________________________________
               ________________________________________
               ________________________________________
               ________________________________________
               _______________________________________

Are you in any cell group? Yes___ No____

Emergency Contact
In case of emergency, please contact:-

Name :_________________________________________

Relationship:____________________________________

Phone:_________________________________________

I have a medical condition or allergy . Yes/No

Payment Method:

For outstation participants, payment are to be made in the form of cheques, made payable to:
"St. Joseph's Cathedral Miri"

Please send your registration form together with the cheque to:

Ms Jennie Sim
C/o Women's Core Team
St. Joseph's Catheral
P.O. Box 37
98007 Miri

For participants from Miri, please submit your registration forms with the cash payment at any of the registration booths which will be set up at a later date at the various churches in Miri